Organization
EASTER SEALS NORTH GEORGIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA MARIE DAVIDSON M.ED (PRESIDENT AND CEO)
(404) 943-1070
Entity
Organization
Contact information
Practice address
53 PERIMETER CENTER EAST SUITE 550, ATLANTA, GA 30346
(404) 943-1070
(404) 943-0890
Mailing address
53 PERIMETER CENTER EAST, SUITE 550, ATLANTA, GA 30346
(404) 943-1070
(404) 943-0890
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
CH002718
GA
251V00000X
Voluntary or Charitable Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300028410D
—
GA
Enumeration date
10/04/2006
Last updated
04/06/2015
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